Alumni Registration Form and Drawing Coupons

Print this page, send in your reservations and join the fun!!!

Please return to:
Wanda Hamrick
P.O. Box 111
Corning, OH 43730
(740) 347-4153

Class of _____________

Please reserve _______ plates @ $18.00 per plate. (This price includes dinner, music and social hour refreshments).

Name ____________________________________________________________________

Address ___________________________________________________________________

( ) I will be unable to attend
PLEASE REPLY NO LATER THAN MAY 18, 2009

(2) $50.00 Drawings - $1.00 Donation Each
Name ____________________________________________ Phone ____________________________________

Address _____________________________________________________________________________________

Name ____________________________________________ Phone ____________________________________

Address _____________________________________________________________________________________